Dr. Albularyo: Uncovering the Perceptions of 21st-Century Adolescence to the Process of Treatment of Albularyo A Research Presented to the Faculty of Malinta National High School – Senior High School In Partial Fulfillment of the Requirements in Practical Research 1 Delloro, Nataniel Esponilla Nikko Cajes, John Paul Alcolea, Elaisa Jane Gutierrez, David Russel Pabualan, Jucks Labayo, Gwen’ Reyes, Dustin Chapter 1 THE PROBLEM AND ITS BACKGROUND Introduction One of the important aspects of a person's life is their health. In order to be healthy a lot of people started to live a healthy lifestyle but getting sick is inevitable. Luckily, in the previous years up until now the medical field has been evolving continuously leading to modern medicine advancement. But despite of that, we cannot deny the fact that there are still individuals who tend to choose to get treatment from what we call albularyos even when they are aware of the unusual process used by them, rather than getting medical treatment from professionals in the medical field. Albularyo originates from the Spanish word "Herbolario" or "Herbalist". Albularyo is known for being an expert in herb lore, which they use for treating ailments. Albularyo practices unorthodox medicine which does not originate from using scientific methods, and is based mostly on tradition, superstition, and belief in supernatural energies like " taong-lupa" a supernatural entity that Filipino people believed in. The main goal of this study is to uncover the perceptions of teenagers in the process of treatment by albularyo. One of this research objectives is to know how adolescents perceive the albularyo and what influences their perception. To be aware of the benefits and drawbacks of albularyo treatment from the perspective of teenagers is also one. This research also aims to know the albularyo treatment process and how is it different from the medical treatment offered by the professionals in the medical field. In order to obtain the objectives of this research, the researchers are determined to pick the most suitable methods that can be used to solve the main problem of this research. This research study aims to seek understanding and describe the perception of 21st-century adolescents regarding the process of the treatment of the albaryos. The researchers need to recruit respondents who have an in-depth understanding and can provide detailed information about the research topic. Preparing the right set of questions for the interview with the respondents is also necessary. Conceptual Framework The researcher employed the INPUT-PROCESS-OUTPUT model, which includes the necessary accurate information, methodology, and relevant data on the study’s variables. Adolescent from the 21st century and albularyo are the study’s main variables and responders, making up the input group. It also contains the 21st-century Adolescent's perspective on the process of treatment of albularyo. For the process, it includes all the techniques we’ll use to address the problem, including interviews, data-gathering tactics, and sampling. We intend to use purposive sampling because the people included are the most likely to provide information that is needed to achieve the research objective. For output, is to provide insight into the practices and beliefs of the people and their impact on the healthcare systems. Specifically, the study aims to uncover the perceptions of 21st-century adolescent regarding the treatment methods or techniques employed by albularyos in administering healthcare to their patients. Statement of the problem: This study aims to find a solution in a problem that is the lack of understanding of the perceptions of 21st-century adolescent towards the process of treatment provided by albularyo. 1. What are the perceptions of 21st Century adolescent towards the treatment process provided by Albularyo? 2. How do adolescent perceive the albularyo treatment process, and what factors influence their perceptions? 3. What are the benefits and drawbacks of albularyo treatment from the perspective of adolescent? 4. What is the albularyo treatment process, and how is it different from other medical treatment 5. How can healthcare providers improve communication with adolescent about the albularyo treatment process to ensure that they make informed decisions? Objective of the study 1. To explore the perceptions of 21st-century adolescents towards the process of treatment by "Dr. Albularyo" (witch doctors) and understand their beliefs, attitudes, and experiences related to alternative healing practices. 2. To examine the factors influencing the decision-making process of adolescents when seeking treatment from albularyo. 3. To assess the benefits and drawbacks of treatment by "Dr. Albularyo" from the perspective of 21st-century adolescents, including their perceptions of efficacy, safety, cultural relevance, and the impact on their overall well-being and health outcomes. Significance of the Study The purpose of this study is to uncover the perceptions of 21st-century adolescent. where the perception of adolescent is used to acknowledge the importance of this matter in the present generation. This study will evaluate the different responses to narrow down the basis on which some people acknowledge the Albularyos in terms of their ways of treating them. This study will benefit the following areas: 21st Century adolescent This aims to provide information about the ways of treatment that albularyos are using to treat their patients, especially for those 21st-century adolescent' perceptions. This could also provide them with such information that it could be helpful for them to acknowledge or study information related to this topic. People with Comorbidity To consider the possible effects that the patient with comorbidity may or may not experience after the treatment and to understand the potential health advantages of this treatment. Moreover, this study will provide them with the information that they need to clarify the possibilities in other areas related to this topic. People in Rural Areas To give them information about the types of treatment procedures that an individual needs to avoid severe sickness and casualties because some rural places rely on traditional healing due to their inability to go to the nearest hospitals or health centers. Furthermore, this study will conclude possible ways for them to access professional health care in a problematic situation. The Future Researcher This research will also be helpful for all future researchers who intend to conduct studies that are related to Albularyo. It can be a great source of information for those who would like to dig up more information about these studies. Scope and Delimitation The general goal of the study is to uncover the perception of adolescents about how albularyos treated people in today's generation. To find out what are the insights of adolescents about the treatment of Albularyo to their patients. This study considers the statement of adolescents who are 17-19 years old and have experience albularyo treatment. They will be interviewed and given some questionnaires related to our study. This study will be conducted only inside Quiapo, Manila City. Definition of terms Inevitable: Unable to be avoided or escaped; certain to happen. Medical field: The branch of knowledge or profession concerned with the diagnosis, treatment, and prevention of diseases and disorders in humans. Modern medical advancement: The progress and development of medical knowledge, techniques, technologies, and treatments in recent times. Medical treatment: The application of medical knowledge and procedures to prevent, cure, or alleviate a disease or medical condition. Herb lore: Knowledge and practices related to the traditional use of herbs for medicinal purposes. Ailments: Physical or mental illnesses, disorders, or conditions. Unorthodox medicine: Approaches to healing or treatment that are unconventional, deviating from established medical practices. Scientific method: A systematic and logical approach to acquiring knowledge and conducting scientific research, involving observation, formulation of hypotheses, experimentation, and analysis of data. Superstitions: Beliefs or practices based on irrational or unfounded notions, often related to supernatural or magical influences. Supernatural energies: Forces or powers beyond the realm of natural explanation or scientific understanding. Taong lupa: A supernatural entity or being in Filipino folklore believed to have a connection with the earth or ground. Drawbacks: Disadvantages or negative aspects of something; shortcomings or limitations. Chapter 2 REVIEW OF RELATED LITERATURE TRADITIONAL HEALERS (Mendes et al., 2020) mentioned that Traditional healers are often regarded as cultural practitioners who are responsible for preserving and promoting traditional knowledge and practices related to health and healing within their communities. As such, they play an important role in preserving cultural identity and heritage. Moreover, (Tengnah & Mendenhall, 2010) added that traditional healers are often seen as alternative healthcare providers who offer treatments that are different from those offered by scientific medicine. Many traditional healing practices involve the use of natural remedies, such as herbs and plant extracts, and focus on addressing the root causes of illnesses rather than simply treating the symptoms. The origins of traditional healing practices can be traced back to ancient civilizations, including those in Egypt, China, and India. These civilizations developed sophisticated medical systems that relied on natural remedies, including herbs, minerals, and other substances, as well as spiritual practices and ritual healing (Chopra et al., 2017). Moreover, traditional healing practices also have roots in indigenous cultures and communities around the world. These practices have been passed down through generations and are often closely tied to local belief systems and cultural traditions. Indigenous healers use a range of techniques, including plant medicine, energy healing, and ritual practices, to restore balance and promote health (Kelmendi., 2017). Furthermore, Traditional healing practices have also been influenced by the contributions of individual healers and practitioners over time. These healers often developed their unique techniques and remedies based on their personal experiences and observations, and their teachings were passed down to future generations. In some cases, these healers gained widespread recognition and became influential figures in the development of traditional healing practices (Zhang, 2018). POPULARITY IN OTHER COUNTRIES According to a study published by the World Health Organization (WHO) in 2018, traditional healers are still popular in many parts of the world. The study estimated that around 80% of people in Africa still rely on traditional medicine for their healthcare needs, while in other regions such as Asia and Latin America, the figure is around 50%. The study also highlighted the importance of integrating traditional medicine into the healthcare systems of these countries to improve overall health outcomes. Furthermore, a more recent study published in the Journal of Ethnobiology and Ethnomedicine in 2021 found that traditional healers are still widely used in many parts of the world, including Africa, Asia, and South America. The study surveyed over 2,000 people in 22 countries and found that traditional healers were used by 55% of participants, with the highest usage reported in South America (76%) and Africa (68%). The study also found that traditional healers were often preferred over modern healthcare systems due to factors such as affordability, accessibility, and cultural beliefs. POPULARITY IN THE PHILIPPINES On the other hand, according to a study published by the Philippine Statistics Authority in 2015, traditional healers are still commonly used in the Philippines. The study found that around 9% of households in the country use traditional healers for their healthcare needs, with higher usage in rural areas (12%) compared to urban areas (6%). The study also noted that traditional healers are often preferred by households with lower incomes, as they are perceived to be more affordable and accessible than modern healthcare systems. Highlights of the 2013 Annual Poverty Indicators Survey (APIS). Furthermore, a more recent study published in the Journal of Ethnobiology and Ethnomedicine in 2020 found that traditional healers are still widely used in the Philippines, particularly among indigenous communities. The study surveyed over 400 individuals from five indigenous communities and found that traditional healers were used by 75% of participants, with the highest usage reported in communities with limited access to modern healthcare systems. The study also found that traditional healers were valued for their ability to provide culturally appropriate care and address a wide range of health issues. International Journal of Health Services in 2021 found that traditional healers are still commonly used in the Philippines, particularly among low-income households. The study surveyed over 1,200 households in the country and found that around 5% of households use traditional healers as their first choice for healthcare, with higher usage in rural areas (8%) compared to urban areas (4%). The study also noted that traditional healers were often perceived as more accessible and affordable than modern healthcare systems, particularly for households with limited financial resources. TREATMENT TECHNIQUES (Rebuya et al.,2020) observed that their procedures and rituals have similarities in performing orasyon, hilot, himolso, and the use of medicinal herbs and spiritual or supernatural interventions. Likewise, (Tome, 2017) observed the ritual healing of Filipino immigrants in South Korea, they use shamanic ritual healing to prevent illness and protect them from evil (Shamanic ritual, an ancient method of healing found in many cultures that focuses upon relief of spiritual pain and suffering.). Moreover, (Ragosta et al.,2016) presented the Cebuano traditional healing practices or called panambal comprise the use of himolsolo (Pulse checking), palakaw ( petition), and pasubay ( to determine what causes the sickness and its possible means of healing. Furthermore, (Villanueva, 2021) observed that the elderly in Nueva Vizcaya apply materials and resources for indigenous healing modalities the relaxation techniques, massage (hilot), use of medicinal herbs, and rituals and also In a study conducted by (Castro and colleagues, 2018) in the Philippines, it was found that traditional healers, or albularyo, use a combination of prayers, herbs, and massage to treat various ailments. They also believe in the importance of treating not just the physical symptoms but also the spiritual and emotional aspects of the patient. (Caoile, 2015) documented existing traditional healers in the Philippines, the Mangyan people whose healing practices include the use of various plant species for medicinal purposes, as well as the performance of rituals and ceremonies to communicate with the spirits for healing. DISADVANTAGES Traditional healers have been a part of many cultures for centuries, but there are some disadvantages associated with their practices. One of the main concerns is the lack of formal education and scientific training among traditional healers, which can result in unregulated and potentially harmful practices for patients (Ruzol et al., 2018). Another disadvantage is the use of unproven and ineffective treatments, which can lead to delays in seeking proper medical care and worsening of the patient's condition (Casas et al., 2019). In addition, the lack of standardization in treatment practices among traditional healers can result in inconsistent treatment outcomes and difficulty in assessing the effectiveness of their treatments (Deocaris et al., 2018). Traditional healers may also be unable to diagnose and treat complex medical conditions, leading to delays in seeking proper medical care and potential harm to the patient (Cruz et al., 2015). Finally, there is a risk of misdiagnosis and delayed treatment among traditional healers, which can cause harm to the patient (Malanay et al., 2020). Despite these concerns, traditional healers continue to be a significant part of healthcare in many cultures around the world. SYNTHESIS (Mendes et al., 2020), (Tengnah & Mendenhall, 2010), (Chopra et al., 2017), (Kelmendi., 2017), (Zhang, 2018) elaborated the practices of Albularyos. (World Health Organization (WHO) in 2018), (Journal of Ethnobiology and Ethnomedicine in 2020), (2013 Annual Poverty Indicators Survey), (Philippine Statistics Authority in 2015) estimated the popularity of Albularyos. (Rebuya et al.,2020), (Tome, 2017), (Ragosta et al.,2016), (Villanueva, 2021), (Castro and colleagues, 2018), and (Caoile, 2015) presented the similarities of techniques used by Albularyos. However, (Ruzol et al., 2018), (Casas et al., 2019), (Deocaris et al., 2018), (Cruz et al., 2015), (Malanay et al., 2020) rejected the idea of Albularyos' medical practices by presenting it's disadvantages. Chapter 3 RESEARCH METHODOLOGY In this chapter, we will present the research methodology of the study. It contains a description of ways and means to conduct the research. The basic aim of the research methodology is to explain what techniques are being used or will be used to obtain the data or information that is expected to be gained at the end of the research. Research Design This study will employ qualitative research, in which the data collected from the participants will be analyzed before being presented in written form. Phenomenological studies are type of qualitative research that explores how individuals experience a particular phenomenon. The goal of phenomenological research is to uncover the meanings that people assign to their experiences and to understand the essence of those experiences. This is a phenomenological study that aims to uncover the perceptions of 21st-century adolescent towards the process of treatment by an albularyo. In this study, the focus is on how adolescent perceive the process of treatment by an albularyo. The researchers will use semi-structured interviews between the researchers, adolescent, and albularyo. The researcher conducts this qualitative type of research, focusing on the experiences of teenage patients. The participants are adolescent who experience treatment by an albularyo to treat their illness or to support their lives. Qualitative answers are expected to be given with a brief and specific description of the perceptions of adolescent. By the collected data, which was gathered and discussed in the following chapter, the researchers were able to perform an analysis of the data in order to find out the different struggles and experiences of being a teenage patient. Population and Sampling Technique Six (6) participants are going to be selected based on the researcher's criteria. The participants are 21st-century adolescent around seventeen to nineteen (17–19) years old who have experienced treatment by an albularyo. The reason why the researchers chose to select patients aged 17– 19 is that they can answer the question more accurately and clearly, and they are more experienced than young patients. The answer that the researchers could get is more precise and significant. They can explain their experience better than those aged sixteen and below, and they are mature enough to answer the questions that the researchers prepared. The researchers will use purposive sampling to select participants for the study. Purposive sampling is a non-probability sampling technique that allows researchers to select participants based on specific criteria that are relevant to the research question. In this study, the researchers will select participants who have experienced treatment by an albularyo and are willing to share their perceptions about the process. Research Locale The researchers chose to conduct their study around Valenzuela City, where the researcher currently lives, making it easier for them to conduct their study. Basically, the researchers chose this place to conduct their research because there is enough population that is needed for their study. Additionally, the researchers perceived that the students here are approachable. Research Respondents The researchers will pick two (6) respondents. The respondents are going to be picked based on the study requirement. The respondent should have experienced treatment by an albularyo, living in Valenzuela City. The Age of respondents must be seventeen to nineteen (19) and are willing to participate in the interview with the researchers. Research Instruments and Techniques To get authentic and credible information, the researchers will conduct an interview where the participants will be given a questionnaire. It is used as an instrument to learn about the different perceptions of 21stcentury teenagers. Specifically, a semi-structured interview in which the researchers will ask the research participants ten (10) questions that they have prepared and validated the questions are crafted to be able to elicit detailed information regarding the participants' perceptions of receiving Albularyos ways of treatment. The interview will be conducted based on the interview questionnaire. The respondents must therefore react to the questions in a manner with which they are comfortable. Data Gathering The researchers will employ four (4) methods to gather data, with the aim of acquiring sufficient and pertinent information to address the research objectives. The first method involves planning and organizing the research instruments. The second method encompasses the actual implementation of these research instruments. Furthermore, the researchers will analyze and interpret the collected data. Lastly, the study will conclude with findings and recommendations. During the planning and arrangement phase, the researchers will prepare the required instruments for data collection, such as an interview questionnaire. The questionnaire chosen for data collection is ensured to be valid. Following the preparation phase, the data gathering process will commence through interviews with the participants. Once the necessary information is obtained, the researchers will analyze and interpret the data by transcribing and coding it. Ultimately, the study will culminate in a conclusion and a set of recommendations. Data analysis When it comes to interpreting the collected data, the researchers employ several techniques, including transcription, coding, and analysis. Transcription involves gathering all the data provided by the respondents and transferring it onto paper or a digital format for thorough examination. This step enables the researchers to read and comprehend the information in detail, gaining a deeper understanding of its essence and significance. Coding is another crucial aspect of data analysis, specifically utilizing an inductive coding approach, often referred to as open coding. This method involves the researcher carefully reading and interpreting the raw textual data from the selected respondents. The data is then systematically labeled based on its distinct characteristics. Through this process, the researchers can identify patterns, develop themes, and categorize the data based on their shared attributes and commonalities. By employing transcription, coding, and analysis techniques, researchers can effectively dissect and make sense of the collected data, unlocking valuable insights and contributing to a comprehensive understanding of the research topic.